Individual provider Active NPI

Fazirah Mutoni

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1376245092
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
3877 N 7TH St Ste 230
Phoenix, AZ 85014-5075
Phone
(747) 266-4198
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3877 N 7TH St Ste 230
Phoenix, AZ 85014-5075

Mailing address

4461 W Samantha Way
Laveen, AZ 85339-7972
Phone (747) 266-4198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hello Fazie LLC Community/Behavioral Health CurrentSince May 7, 2023 Accepting new patients

Locations

3877 N 7th St
Ste 230
Phoenix, AZ 85014
Phone (747) 266-4198

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1376245092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 W SAMANTHA WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397972",
            "telephone_number": "747-266-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145075",
            "telephone_number": "747-266-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTONI",
        "first_name": "FAZIRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.